so age related loss is better known as press pa kocsis, it's a progressive deterioration of the auditorycells and processing functions and is associated with with the aging process. as you can see on the slide, it is prevalent in one-third of people over the age of 65 they have hearing loss of this type. that number goes up to one-half over the age of 75. it's the third most prevalent chronic condition in the united states in older americans after hypertension and arthritis. it's often overlooked. it's undetected, underestimated and it's because it's due to slow development and part of the aging process. a lot of my clients often say, my doctor said it's normal for your age. and it is normal for our age, however, it doesn't mean it's normal. and that means there is something we can do to treat it if possible. because there is a lot of negative effects on our cognitive, physical and social functioning when it is untreated. it's our brain that does the hearing, not our ears. we hear through three processes. it's the external and the middle ear collects the sound and trance transdeucings it